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Spectrum of angiographically demonstrable renal pathology in young hypertensive patients
Radiology
|April 1, 1977
Insights
Renal diseases causing high blood pressure in children and adolescents vary from adult causes. Angiographic studies revealed diverse kidney conditions, including arterial issues and congenital anomalies, in young patients.
Area of Science:
- Pediatric Nephrology
- Cardiovascular Diseases
- Diagnostic Imaging
Background:
- Systemic hypertension in pediatric patients presents unique etiological profiles compared to adults.
- Early identification and characterization of renal diseases are crucial for managing hypertension in young individuals.
Purpose of the Study:
- To delineate the spectrum of renal pathologies associated with systemic hypertension in patients under 20 years of age.
- To analyze the incidence and etiology of these renal diseases in a pediatric cohort.
Main Methods:
- Retrospective analysis of 17 pediatric patients (11 days to 20 years old) with renal diseases causing hypertension.
- Comprehensive angiographic evaluation to identify and characterize renal abnormalities.
Main Results:
- A wide array of renal pathologies was identified, including arterial thrombosis, fibromuscular hyperplasia, vasculitis, and neurofibromatosis.
- Other significant findings included cystic disease, pyelonephritis, Page kidney, and congenital renal anomalies.
Conclusions:
- Renal diseases are a significant cause of systemic hypertension in the first two decades of life.
- The diverse range of pathologies necessitates a thorough diagnostic approach, including angiography, for effective management.
Abstract:
The renal diseases which cause systemic hypertension in the first two decades of life differ from the adult in their incidence and etiology. Seventeen patients (11 days to 20 years old), studied angiographically, demonstrated a wide spectrum of renal pathology including arterial thrombosis, fibromuscular hyperplasia, vasculitis, neurofibramatosis, cystic disease, pyelonephritis, Page kidney, and congenital anomalies.